Provider Demographics
NPI:1497804496
Name:SCHOONOVER, CHRISTOPHER MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARK
Last Name:SCHOONOVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:255 SMITH AVENUE NO #100
Practice Address - Street 2:UNITED MEDICAL SPECIALTIES
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-241-5000
Practice Address - Fax:651-241-7678
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44082207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN306K9SCOtherBLUE CROSS INDIVIDUAL
MN306K9SCOtherCOMPREHENSIVE CARE
MN132166OtherUCARE MINNESOTA IND
MNED0201OtherAMERICAS PPO
MN48906100Medicaid
MN960661042088OtherPREFERRED ONE MN INDIVIDU
MNDD1669OtherRAILROAD MEDICARE
MNHP43193OtherHEALTHPARTNERS MN
MN960661042088OtherPREFERRED ONE MN INDIVIDU
MNED0201OtherAMERICAS PPO